Managing Back Surgery Scars and Vascular Tumors: What You Need to Know

Q: Managing Back Surgery Scars and Vascular Tumors: What You Need to Know

There are several treatment options for vascular tumors： 1. <br>Laser therapy： This is suitable for vascular tumors primarily composed of microvessels, but multiple sessions are often required to achieve the desired effect. <br>2. <br>Sclerotherapy： This involves injecting a scle

Back surgical scar

Ten years ago, I had surgery for a vascular tumor on my back.
After the surgery, the wound reopened, and I had to be stitched up twice.
Now, I have a large scar on my back, and there is another vascular tumor next to it.
Do I need to have surgery again? Also, how can I make the unsightly scar look less noticeable?

Xiao Pei, 20~29 year old female. Ask Date: 2002/08/01

Dr. Luo Qihua reply Plastic Surgery

There are several treatment options for vascular tumors: 1.
Laser therapy: This is suitable for vascular tumors primarily composed of microvessels, but multiple sessions are often required to achieve the desired effect.
2.
Sclerotherapy: This involves injecting a sclerosing agent into the blood vessel, which damages the vessel wall and induces thrombosis to obstruct blood flow, thereby achieving therapeutic effects.
This method tends to be more effective for venous vascular tumors than for arterial ones.
3.
Surgical excision: For some vascular tumors with well-defined borders, surgical removal can be an excellent option; however, for those with unclear borders or that involve muscle and bone, complete surgical excision can be challenging.
It is essential to discuss your treatment options with the plastic surgeon.
As for whether the unsightly appearance can be improved, a physical examination is necessary to determine the extent of possible changes.
Dr.
Kihua Lo, Plastic Surgery.

Reply Date: 2002/08/01

More Info

Managing scars and vascular tumors after surgery can be a complex process, especially when dealing with a history of surgical interventions and complications like wound dehiscence. In your case, having undergone surgery for a vascular tumor on your back a decade ago, and now dealing with a significant scar and the presence of a new vascular tumor, there are several factors to consider.

Understanding Scars
Scars are a natural part of the healing process following surgery. They form as the body repairs itself, but their appearance can vary based on several factors, including the type of surgery, the location of the incision, individual healing responses, and whether there were complications such as wound dehiscence (the reopening of a wound).
1. Scar Management: To improve the appearance of your scar, there are several options you might consider:
- Topical Treatments: Silicone gel sheets or silicone ointments can help flatten and soften scars. These products are often recommended for hypertrophic scars and keloids.

- Massage Therapy: Gentle massage of the scar tissue can improve blood flow and help break down excess collagen, which may improve the scar's appearance over time.

- Laser Therapy: Dermatologists often use laser treatments to reduce redness and improve the texture of scars. This can be particularly effective for raised or discolored scars.

- Microneedling: This procedure involves using tiny needles to create micro-injuries in the skin, promoting collagen production and improving the appearance of scars.

- Surgical Revision: In some cases, if the scar is particularly bothersome, surgical revision may be an option. This involves removing the old scar and re-closing the wound in a way that may result in a less noticeable scar.

Addressing the Vascular Tumor
Regarding the vascular tumor that has developed next to your scar, it is essential to consult with a healthcare professional, preferably a dermatologist or a surgical oncologist, for an accurate diagnosis and treatment plan.
1. Assessment: The new vascular tumor should be evaluated to determine its nature. Not all vascular tumors are the same; some may be benign, while others could require treatment.

2. Surgical Intervention: If the vascular tumor is causing discomfort, growing, or has an appearance that is concerning to you, surgical removal may be warranted. The decision to operate will depend on factors such as the tumor's size, location, and whether it poses any health risks.

3. Follow-Up Care: Regular follow-up appointments are crucial, especially if you have a history of vascular tumors. Monitoring for changes in size, color, or symptoms can help catch any potential issues early.

Conclusion
In summary, managing scars and vascular tumors involves a combination of aesthetic treatments and medical evaluations. For your scar, consider consulting a dermatologist for tailored scar management strategies. For the vascular tumor, a thorough assessment by a qualified healthcare provider is essential to determine the best course of action. Remember, every case is unique, and personalized medical advice is crucial for optimal outcomes.

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